REPUBLIC OF THE PHILIPPINES)

) S.S.

AFFIDAVIT OF INSUFFICIENT INCOME

THAT I, ___________________, of legal age, Filipino citizen and with residence
and postal address at _____________________________________________, after having
been sworn to in accordance with law, hereby depose and say:

1. That, I am the father of ______________, male, __ years old, born on

_________;

2. That I work as a Family Driver while my wife on the other hand has left us and
I have no communication with her ever since.

3. That my monthly income as a driver is Php _______________and is not

sufficient to support the need for education of my son and finance other required
expenses;

4. That I am executing this Affidavit of Insufficient Income for the

__________________________; and

5. That I am executing this Affidavit of Insufficient Income to attest as to the

veracity of all the above facts and for all legal intents and purposes this may serve.

IN WITNESS WHEREOF, we have hereunto set our hands this ____ day of
_______________at _____________City, Philippines.

Affiant

I.D. No. _______________

Issued by: _____________
Issued on: _____________

SUBSCRIBED AND SWORN TO BEFORE ME, on the place and date first above-
written, affiants exhibiting to me their Competent Evidence of Identity, whose
photographs and signatures appearing thereon.

Doc. No. ____ ; NOTARY PUBLIC

Page No. ____;
Book No. ____ ;
Series of 20__.